Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2013
Comparative Study[Assessment of the value of acute physiology and chronic health evaluation II/IV prognostic models in elderly patients with sepsis].
To assess and compare the performance of acute physiology and chronic health evaluation II/IV (APACHEII/IV) prognostic models in elderly patients with sepsis. ⋯ The accuracy of APACHEII/IV are not ideal in foretelling mortality rate. Hospital mortality was underestimated with APACHEII in high risk patients, and it was underestimated with APACHEIV both in low and high risk patients, and it is even more prone to be underestimated in low risk group of APACHEIV. More accurate prognostic modality is in need in elderly patients with sepsis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2013
Randomized Controlled Trial Comparative Study[Comparison of the effect of fluid resuscitation as guided either by lactate clearance rate or by central venous oxygen saturation in patients with sepsis].
To compare the efficacy of fluid resuscitation as guided by lactate clearance rate (LCR) and central venous oxygen saturation (ScvO2) in patients with sepsis. ⋯ Both LCR and ScvO2 can be taken as the index in confirming the endpoint of fluid resuscitation for patients with severe sepsis and septic shock. Fluid resuscitation therapy under the guidance of LCR is accurate and reliable in patients with severe sepsis and septic shock.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2013
Randomized Controlled Trial[Effects of probiotics on blood glucose levels and clinical outcomes in patients with severe craniocerebral trauma].
To investigate the effects of probiotics on blood glucose levels and clinical outcomes in patients suffering from severe craniocerebral trauma. ⋯ Probiotics could facilitate blood glucose control in patients with severe craniocerebral injury. The underlying mechanisms and its long-term efficacy in this category of patients, however, need to be further investigated.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2013
[The study of pro-B-type natriuretic peptide in the evaluation of the cardiac function in patients with severe sepsis].
To evaluate plasma N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels as a marker of cardiac function during severe sepsis and septic shock. ⋯ Plasma NT-proBNP levels on day 7 in ICU could reflect the left ventricular systolic dysfunction in patients with severe sepsis and septic shock.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2013
Comparative Study[The comparison of the value of end-tidal partial pressure of carbon dioxide after eupnoea and prolonged expiratory method in Department of Respiratory Medicine].
To compare and discuss the value of end-tidal partial pressure of carbon dioxide (PETCO2) using eupnoea or prolonged expiratory method, and explore their application value in department of respiratory medicine. ⋯ In Department of Respiratory Medicine, PETCO2 can replace PaCO2, but among the patients with COPD, interstitial pneumonia, large pleural effusion, the results of PETCO2 measured with prolonged expiratory method could be closer to that of PaCO2 as compared with that of using eupnoea expiratory method. In cases with high levels of PaCO2, blood gas analysis should be executed. In pulmonary embolism patients, there was no difference between eupnoea and prolonged expiratory method, and the results were lower than that of PaCO2.